Erectile Dysfunction

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We have deals everyday on generic Viagra® (sildendfil) and Cialis® (tadalafil) for patients with Erectile Dysfunction. We offer 50 tablets of Sildenafil 20mg for only $90 and 30 tablets of Tadalafil for $200!!! Compare that to 5 tablets of Viagra 100mg that retails at over $400!

Erectile dysfunction (ED) is a very common problem among men aged 40 and over. According to studies, ED is even more prevalent with increasing age with ED affecting approximately 40% of men at age 40 and 70% of men at age 70. Of note, more than 600,000 men are diagnosed in the United States annually. While these numbers are daunting, there is help. You don’t have to live with ED. We know a healthy sex life is important to you and your partner. Ask your doctor about ED today.

What Causes ED?

ED can be a result from many different things, most notably would be health problems and emotional issues.

Some known risk factors include:

  • High blood sugar
  • High blood pressure
  • Heart problems
  • High cholesterol
  • Smoking
  • Alcohol
  • Obesity
  • Lack of exercise
  • Medications
    • Diuretics (fluid pills)
    • Antihypertensive
    • Antihistamines
    • Antidepressants
    • Muscle relaxants

Some emotional issues that can cause ED include:

  • Depression
  • Anxiety
  • Stress
  • Relationship problems
  • Worry about sex performance

What are the treatments for ED?

The most common type of treatment for ED is oral medications known as PDE5 Inhibitors. These drugs work by increasing blood flow to the penis. The most common PDE5 inhibitors are Viagra® and Cialis®.

What should you know about PDE5 inhibitors?

These drugs require normal nerve function to the penis for them to work, and these SHOULD BE AVOIDED if you are taking any kind of nitrates for your heart. Common side effects include, headache, stuffy nose, facial flushing, muscle aches, and indigestion.

Viagra, ideally, should be taken 1-2 hours after eating and 1 hour before sexual activities. Be aware it can start to take effect as quickly as 11 minutes and last for 3-5 hours. Avoid fatty meals and alcohol as these prevent Viagra from working properly.

Cialis is not affected by food, so it can be taken at any time. It should be taken 2 hours before sexual activity but again be aware, it can start working as quickly as 14 minutes and stays in your body for 17 hours, helping you have erections any time during this time.

What is PDE5 Inhibitors don’t work?

If you have tried the highest effective dose of Viagra or Cialis, and you still aren’t seeing the desired results, your ED may be caused by low testosterone. Have your doctor check your testosterone levels to see if you need a testosterone replacement medication. At B&B Pharmacy, we compound testosterone creams and gels to treat Low T as well.

  1. Feldman HA, Goldstein I, Hatzichristou DG, Krane RJ, McKinlay JB. Impotence and its medical and psychosocial correlates: Results of the Massachusetts Male Aging Study. J Urol 1994; 151:54–61
  2. Rew KT, Heidelbaugh JJ. Erectile dysfunction. Am Fam Physician 2016; 94:820–827
  3. Johannes CB, Araujo AB, Feldman HA, Derby CA, Kleinman KP, McKinlay JB. Incidence of erectile dysfunction in men 40 to 69 years old: Longitudinal results from the Massachusetts Male Aging Study. J Urol 2000; 163:460–463.